Risk madness, or let the killings continue? Jackson sees patterns - the sway of trees, the flow of traffic, the design of the human body. His condition makes him a brilliant massage therapist, but also once put him in a locked psych ward. Now it shows him a pattern behind his elderly patients' deaths. Wendy loves her nursing work. She knows a hundred ways to remove her patients from their pain. She's never been caught: Rule Three says When They Suspect, Move West. Jackson can't let these deaths continue. His friends think he's slipping; the police are watching. If he is to stop this killer, he'll need to use his condition as a tool. And that way lay madness. Wendy is horrified that someone can see her secret work in the night. But she'll never stop. And she's in Vancouver, all the way West. There's nowhere left to run. As their paths spiral closer, neither can let the other go. Jackson must risk his career and his sanity and learn to use his madness - or lose everything to The Night Nurse.